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Z-23748
FORM NO. 4 TOWN OF SOUTHOLD. BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. No Z-23748 THIS CERTIFIES that the bui PRE EXISTING FICATE OF OCCUPANCY Date JUNE 29, 1995 ONE FAMILY DWELLING Location of Property 6800 GT. PRCONIC BAY BLVD. LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 11 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23748 dated JUNE 29, 1995 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ACCESSORY 2 CAR GARAGE * The certificate is issued to CHARLES NINTZLE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A B ilding`Inspector BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• 6800 GREAT PECONIC BAY BLVD. LAUREL, N.Y. number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) CHARLES NITZLE OCCUPANCY A-1 RES. OWNER type owner—tenant ADMITTED BY: CHARLES NINTZLE ACCOMPANIED BY: KEY AVAILABLE SUFF.CO. TAX MAP NO. 126-11-4 SOURCE 2 — — SOURCE OF REQUEST: CHARLES NINTZLE DATE: JUNE7, 1995 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION BRICK CELLAR FULL TOTAL ROOMS: IST FLR. 3 2ND FLR. 4 3RD FLR. 1 STORIES 2-1/2I EXITS 3 CRAWL SPACE 1 BATHROOM (S) TOILET ROOM (s) 1 UTILITY ROOM PORCH TYPE GLASS ENCLOSED WATER SIDE DECK, TYPE BREEZEWAY FIREPLACE ONE DOMESTIC HOTWATER YES TYPE HEATER LILCO TYPE BEAT OIL WARM AIR XX OTHER: ENCLOSED FRONT ENTRY WAY Af rviziz 1RV 4ZT12Tir r IRPC - PATIO GARAGE AIRCONDITIONING HOTWATER GARAGE, TYPE OF CONST. WOOD FRAME 2 CAR STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: BBQ WITH PATIO FRONT YARD. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE REMARKS: INSPr•_CTED BY DATE OF INSPECTION JUNE 14, 1995 TIME START 9:30 END 9:50 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT Jam."v 9.1995 TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board AppLuval of completed site plan requirements. .B. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .June.,..1995 ............................ New Construction........... Old Or Pre-existing Building..X.............. Location of Property. 6730Peconic Bay Blvd. Laurel: NY House No. Street Hamlet Onwer or Owners of Property.. Qqles H..Nintzel, qr......................................... County Tax Map No 1000, Section..126......... Block ... 11 ........... Lot..4................... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: TemporMRy:ftAN a$ESEN, ESQ.... Final Certicate .).(.. .l P 0 BOX 706 Fee Submitted: $ .. • NY 11.935 • • -- Q.�c .. ........... APPLICANT CONSENT TO INSPECTION Charles H. Nintzel, Jr. the undersigned, Owners) Names) docs) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 6730 Peconic Bay Blvd., Laurel, New York which is shown and designated on the Suffolk County tax map as District 1000, Section 126 Block 71 Lot 4 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in-th© Southold Town Building lnspet;w. orr!"� rte.. +hn rnll0winL1: 2 1/2 Story Frame Residence and Detached Garage That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, includind'inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: June 7, 1995 L CLQ- i& (signature) Charles H. Nintzel, Jr. (print name) signature) (print name) 81yo. NSG 0pY T 50� PeGQ k )0 o 2 Z ff L 0 N a STONE_ DRIVE USED IN COMMON H \ O P N 2 38 6" �O h tGARAGErl z Zy 2 42-/ �TIE TO PROLONGATION OF WEST SIDE OF BRAY AVE SOUTHERLY ACROSS TO THE SOUTHERLY SIDE OF PECON/C BAY BL VO = 830' + JUrJ 9 SURVEY OF DESCRIBED PROPERTY sI rUArE LAUREL, TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. N J 41 SURVEYED FOR: LOUIS VALENTE a SUSAN VALENTE SURVEYED 27MAY, /995 SCALE, / " = 40' AREA =29,04/./3 SF or 0.6667Acres 2 %2 STORY ,� rM# /000-126-/1-4 WOOD FRAME ti RESIDENCE 3 33 5 =�. °j � SURVEYED BY n FD.- o STANLEY ✓ ISAKSEN, ✓R. L32.4 ' CM. PO. BOX 294 NEW SUFFOLK, NY, 11956 Z (516) 734-5835 WOOD STEPS TO BEACH SANDE D. /' EL2' gUi'Ko�F2 2v vtsr � � 3� X33 BpY O NSG POG Guarantees indkoted here on' Adff -dpi only to the person for whom the survey is prepared, and on his behalf to the titfe compeny, Govermental Agency, lending institution, if listed hereon, and IL, the assignees of the lending institution, Guarantees ore not transferable to additional institutions or subsequent owners. Unavth9rized alteration or cddition to thb sarvey Is a violation of Section 7209 of the New York State Education Law. Copies of this survey map not bearing the Land Surveyors embossed seal shall not be considered to be a valid true copy, NB19 E z 65' 6,9 gS E GUARANTEED TO LOUIS VALENTE SUSAN VALENTE CHARLES H NINTZE1 -'RR FIDELITY NATIONAL f/TLE INS. CO. TOWN OF SOU THOLD 95RSt: S BUILDING DEPAR-PMENT TOWN OF SOUT11OLD HOUSING CODE INSPECTION IZEPOIZT LOCATION: number 6 street SUBDIVISION mUI11C l I),dl l l y MAP N0. LOT (s) NAME OF OWNER OCCUPANCY A d r (type) (owner—tenant) ADMITTED BY:. �}✓�j� �'' /'l//r✓J���� AC=IPANIED BY: • i. KEY AVAILABLE SUFF. CO. TA.K MAP N0. /i44 —,//— SOUL.;:Z OF REQUEST: %9 ,� /iVr'Z DATE D14ELLING: TYPE OF CONSTRUCTION # STORIES ��. # EXITS FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. ,� 2ND FLR. 3RD FLR. BATHROOM (s) TOILET ROOM PORCH TYPES047-AECK,' TYPE (s) UTILITY ROOM _ PATIO, TYPE BREEZEWAY FIREPLACE (9 GARAGE DOt1ESTIC IIOT14c1TER TYPE HEAT OTHER: E.✓.- nc ri .� �.�.� TYPE DATER WARM AIR Li� AIRCONDITIONING_ HOT14ATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. (�/s �:✓,,� _ �STORAGE, TYPE CONST. SWI11MING POOL GUEST, TYPE CONST. A OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION REMARKS: INSPECTED BY: ART. I SEC. n DATE ON INSPECTION Q TIME START / END